Abstract
The novel coronavirus (COVID-19) and the resulting outbreak response measures in Germany and worldwide led to severe limitations in everyday life. This affected all sorts of daily activities and the possibility for physical activity (PA), which represents a major coping strategy against stress. The objective of this study was to analyse PA in German adults during a total lockdown phase including school closures in April 2020 in certain subgroups and in relation to other coping strategies. Data from the COVID-19 Snapshot Monitoring (COSMO) survey, an online cross-sectional study with 1034 participants between 18 and 74 years, were utilised (14/15 April 2020). In addition to descriptive analyses, the odds of performing PA according to the World Health Organization (WHO) recommendations for adults (at least 2.5 h/week of at least moderate intensity) were analysed by univariate and multivariate logistic regression analyses. In total, 440 (42.6%) participants fulfilled this criterion. Participants with children <6 years were less likely to meet the WHO recommendation (OR = 0.51; 95% CI: 0.33-0.78), while those with a higher level of education, good coping behaviour, regular alcohol consumption, and being satisfied with life were more likely to meet the WHO recommendation. In conclusion, PA intervention strategies tailored to specific vulnerable subgroups such as individuals with low educational background and parents with young children are needed in future pandemic response.
Dokumententyp: | Zeitschriftenartikel |
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Publikationsform: | Publisher's Version |
Keywords: | COVID-19; coping strategies; exercise; family; health behaviours; lockdown; physical activity |
Fakultät: | Medizin > Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie
Medizin > Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie > Lehrstuhl für Public Health und Versorgungsforschung |
Themengebiete: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit |
URN: | urn:nbn:de:bvb:19-epub-74743-1 |
Sprache: | Englisch |
Dokumenten ID: | 74743 |
Datum der Veröffentlichung auf Open Access LMU: | 14. Jan. 2021, 10:34 |
Letzte Änderungen: | 23. Jun. 2023, 11:34 |
Literaturliste: | 1. Böhmer, M.M.; Buchholz, U.; Corman, V.M.; Hoch, M.; Katz, K.; Marosevic, D.V.; Böhm, S.; Woudenberg, T.; Ackermann, N.; Konrad, R.; et al. Investigation of a COVID-19 outbreak in Germany resulting from a single travel-associated primary case: A case series. Lancet Infect. Dis. 2020. [CrossRef] 2. WHO Regional Office for Europe. WHO Announces COVID-19 Outbreak a Pandemic. Available online: https://www.euro.who. int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-apandemic (accessed on 15 July 2020). 3. Die Bundeskanzlerlin—Angela Merkel. 22. März 2020: Regeln zum Corona-Virus. Available online: https://www. bundeskanzlerin.de/bkin-de/aktuelles/22-maerz-2020-regeln-zum-corona-virus-1733310 (accessed on 25 June 2020). 4. Knell, G.; Robertson, M.C.; Dooley, E.E.; Burford, K.; Mendez, K.S. Health Behavior Changes During COVID-19 Pandemic and Subsequent “Stay-at-Home” Orders. Int. J. Environ. Res. Public Health 2020, 17, 6268. [CrossRef] [PubMed] 5. Peters, A.; Rospleszcz, S.; Greiser, K.H.; Dallavalle, M.; Berger, K. The Impact of the COVID-19 Pandemic on Self-Reported Health. Dtsch. Arztebl. Int. 2020, 117, 861–867. [CrossRef] 6. Brooks, S.K.; Webster, R.K.; Smith, L.E.; Woodland, L.; Wessely, S.; Greenberg, N.; Rubin, G.J. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet 2020, 395, 912–920. [CrossRef] 7. Filipp, S.-H.; Aymanns, P. Kritische Lebensereignisse und Lebenskrisen. Vom Umgang mit den Schattenseiten des Lebens, 1st ed.; Verlag, W., Ed.; Kohlhammer: Stuttgart, Germany, 2010; ISBN 9783170201156. 8. Clay, J.M.; Parker, M.O. Alcohol use and misuse during the COVID-19 pandemic: A potential public health crisis? Lancet Public Health 2020, 5, e259. [CrossRef] 9. Agha, S. Mental well-being and association of the four factors coping structure model: A perspective of people living in lockdown during COVID-19. Ethics Med. Public Health 2020, 16, 100605. [CrossRef] 10. Sameer, A.S.; Khan, M.A.; Nissar, S.; Banday, M.Z. Assessment of Mental Health and Various Coping Strategies among general population living Under Imposed COVID-Lockdown Across world: A Cross-Sectional Study. Ethics Med. Public Health 2020, 15, 100571. [CrossRef] 11. Stubbs, B.; Vancampfort, D.; Rosenbaum, S.; Firth, J.; Cosco, T.; Veronese, N.; Salum, G.A.; Schuch, F.B. An examination of the anxiolytic effects of exercise for people with anxiety and stress-related disorders: A meta-analysis. Psychiatry Res. 2017, 249, 102–108. [CrossRef] 12. Jiménez-Pavón, D.; Carbonell-Baeza, A.; Lavie, C.J. Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Prog. Cardiovasc. Dis. 2020. [CrossRef] 13. Taylor, C.B.; Sallis, J.F.; Needle, R. The relation of physical activity and exercise to mental health. Public Health Rep. 1985, 100, 195–202. 14. Caspersen, C.J.; Powell, K.E.; Christenson, G.M. Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Rep. 1985, 100, 126–131. [PubMed] 15. Childs, E.; de Wit, H. Regular exercise is associated with emotional resilience to acute stress in healthy adults. Front. Physiol. 2014, 5, 161. [CrossRef] [PubMed] 16. Hall, G.; Laddu, D.R.; Phillips, S.A.; Lavie, C.J.; Arena, R. A tale of two pandemics: How will COVID-19 and global trends in physical inactivity and sedentary behavior affect one another? Prog. Cardiovasc. Dis. 2020. [CrossRef] [PubMed] 17. Booth, F.W.; Roberts, C.K.; Thyfault, J.P.; Ruegsegger, G.N.; Toedebusch, R.G. Role of Inactivity in Chronic Diseases: Evolutionary Insight and Pathophysiological Mechanisms. Physiol. Rev. 2017, 97, 1351–1402. [CrossRef] 18. Cluver, L.; Lachman, J.M.; Sherr, L.; Wessels, I.; Krug, E.; Rakotomalala, S.; Blight, S.; Hillis, S.; Bachman, G.; Green, O.; et al. Parenting in a time of COVID-19. Lancet 2020, 395, e64. [CrossRef] 19. Betsch, C.; Wieler, L.; Bosnjak, M.; Ramharter, M.; Stollorz, V.; Omer, S.; Korn, L.; Sprengholz, P.; Felgendreff, L.; Eitze, S.; et al. Germany COVID-19 Snapshot MOnitoring (COSMO Germany): Monitoring Knowledge, Risk Perceptions, Preventive Behaviours, and Public Trust in the Current Coronavirus Outbreak in Germany. Psych Arch 2020. [CrossRef] 20. WHO Regional Office for Europe. COVID-19 Snapshot MOnitoring (COSMO Standard): Monitoring Knowledge, Risk Perceptions, Preventive Behaviours, and Public Trust in the Current Coronavirus Outbreak—WHO Standard Protocol; WHO: Geneva, Switzerland, 2020. 21. Jonas, D.F.; Gert, B.M.; Mensink, C.L.; Kristin, M. Health-enhancing physical activity during leisure time among adults in Germany. J. Health Monit. 2017. [CrossRef] 22. WHO. Global Recommendations on Physical Activity for Health. Available online: https://apps.who.int/iris/bitstream/handle/ 10665/44399/9789241599979_eng.pdf;jsessionid=712C152CE4E86BEB1A3810DC76C41F1C?sequence=1 (accessed on 15 July 2020). 23. Finger, J.D.; Tafforeau, J.; Gisle, L.; Oja, L.; Ziese, T.; Thelen, J.; Mensink, G.B.M.; Lange, C. Development of the European Health Interview Survey—Physical Activity Questionnaire (EHIS-PAQ) to monitor physical activity in the European Union. Arch. Public Health 2015, 73, 59. [CrossRef] 24. R Core Team. R: A Language and Environment for Statistical Computing. 2019. Available online: https://www.R-project.org/ (accessed on 23 November 2020). 25. Constandt, B.; Thibaut, E.; Bosscher, V.d.; Scheerder, J.; Ricour, M.; Willem, A. Exercising in Times of Lockdown: An Analysis of the Impact of COVID-19 on Levels and Patterns of Exercise among Adults in Belgium. Int. J. Environ. Res. Public Health 2020, 17, 4144. [CrossRef] 26. Lesser, I.A.; Nienhuis, C.P. The Impact of COVID-19 on Physical Activity Behavior and Well-Being of Canadians. Int. J. Environ. Res. Public Health 2020, 17, 3899. [CrossRef] 27. López-Sánchez, G.F.; López-Bueno, R.; Gil-Salmerón, A.; Zauder, R.; Skalska, M.; Jastrz˛ebska, J.; Jastrz˛ebski, Z.; Schuch, F.B.; Grabovac, I.; Tully, M.A.; et al. Comparison of physical activity levels in Spanish adults with chronic conditions before and during COVID-19 quarantine. Eur. J. Public Health 2020. [CrossRef] [PubMed] 28. Antunes, R.; Frontini, R.; Amaro, N.; Salvador, R.; Matos, R.; Morouço, P.; Rebelo-Gonçalves, R. Exploring Lifestyle Habits, Physical Activity, Anxiety and Basic Psychological Needs in a Sample of Portuguese Adults during COVID-19. Int. J. Environ. Res. Public Health 2020, 17, 4360. [CrossRef] [PubMed] 29. Chen, P.; Mao, L.; Nassis, G.P.; Harmer, P.; Ainsworth, B.E.; Li, F. Coronavirus disease (COVID-19): The need to maintain regular physical activity while taking precautions. J. Sport Health Sci. 2020, 9, 103–104. [CrossRef] [PubMed] 30. Froböse, I. Der DKV-Report 2018: Wie Gesund Lebt Deutschland? Available online: https://www.ergo.com/-/media/ergocom/ pdf-mediathek/studien/dkv-report-2018/dkv-report-2018.pdf?la=de&hash=C83A66CFE70E58BE499C8B57D0A0F699B0 CED4FA (accessed on 20 December 2020). 31. Adamo, K.B.; Langlois, K.A.; Brett, K.E.; Colley, R.C. Young children and parental physical activity levels: Findings from the Canadian health measures survey. Am. J. Prev. Med. 2012, 43, 168–175. [CrossRef] [PubMed] 32. Lancet, T. The gendered dimensions of COVID-19. Lancet 2020, 395, 1168. [CrossRef] 33. Cairney, J.; Kwan, M.Y.W.; Veldhuizen, S.; Faulkner, G.E.J. Who uses exercise as a coping strategy for stress? Results from a national survey of Canadians. J. Phys. Act. Health 2014, 11, 908–916. [CrossRef] 34. Fullana, M.A.; Hidalgo-Mazzei, D.; Vieta, E.; Radua, J. Coping behaviors associated with decreased anxiety and depressive symptoms during the COVID-19 pandemic and lockdown. J. Affect. Disord. 2020, 275, 80–81. [CrossRef] 35. Stableford, S.; Mettger, W. Plain language: A strategic response to the health literacy challenge. J. Public Health Policy 2007, 28, 71–93. [CrossRef] 36. Piazza-Gardner, A.K.; Barry, A.E. Examining physical activity levels and alcohol consumption: Are people who drink more active? Am. J. Health Promot. 2012, 26, e95–104. [CrossRef] 37. Kopp, M.; Burtscher, M.; Kopp-Wilfling, P.; Ruedl, G.; Kumnig, M.; Ledochowski, L.; Rumpold, G. Is There a Link between Physical Activity and Alcohol use? Subst. Use Misuse 2015, 50, 546–551. [CrossRef] 38. Anne, K.; Ekaterini, G.; Falk, K.; Thomas, H. Did the General Population in Germany Drink More Alcohol during the COVID-19 Pandemic Lockdown? Alcohol Alcohol. 2020. [CrossRef] 39. Wu, P.; Liu, X.; Fang, Y.; Fan, B.; Fuller, C.J.; Guan, Z.; Yao, Z.; Kong, J.; Lu, J.; Litvak, I.J. Alcohol abuse/dependence symptoms among hospital employees exposed to a SARS outbreak. Alcohol Alcohol. 2008, 43, 706–712. [CrossRef] [PubMed] 40. Deutscher Ärzteverlag GmbH. Redaktion Deutsches Ärzteblatt. Deutsches Ärzteblatt: Archiv “Alkohol und Rauchen: Die COVID19-Pandemie als Idealer Nährboden für Süchte” (19.06.2020). Available online: https://www.aerzteblatt.de/pdf.asp?id=214451 (accessed on 25 June 2020). |